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Trisha Torrey started the topic Find out why an insurance claim was denied in the forum General Conversation 1 year, 10 months ago
ProPublica has created a tool to help you gather all the notes and documents you need to find an appeal to a health insurance denial.
https://projects.propublica.org/claimfile/
If you try it and it works well, please come back and share!
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Stephanie Schulz, BCPA replied to the topic Retainers and Refunds in the forum General Conversation 1 year, 10 months ago
I hope you are doing well, Schandelle!
I use a retainer method when establishing a relationship with new clients then I convert them to monthly hourly billing. I do keep the retainer method for some clients if I feel there is a risk of late or non-payment or if they prefer that method. I have not yet had a situation come up that requires a…[Read more]
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APHA Member Services replied to the topic Retainers and Refunds in the forum General Conversation 1 year, 10 months ago
Great discussion. Thank you all for sharing your experience and Schandelle for starting the thread.
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Cheryl Kauffman, PT, BCPA replied to the topic Retainers and Refunds in the forum General Conversation 1 year, 10 months ago
I absolutely refund the full balance of the retainer when our collaboration concludes. And I do it very quickly, generally the same or next day when notified that we’re wrapping up services. It’s how I’d want to be treated. But it all depends on how your contract is structured.
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Kimberly Russell replied to the topic Dignity Health is Suing Patient Advocates in the forum General Conversation 1 year, 10 months ago
This is a very interesting situation, of all parties involved. Thank you for sharing. During the pandemic in 2021, in-person visitation to any healthcare facility was very restricted. I believe this occurred around the nation. Unsure if this is a solid defense for the plaintiff.
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AnnMarie McIlwain replied to the topic Retainers and Refunds in the forum General Conversation 1 year, 10 months ago
While rarely needed, I do refund when there is a positive retainer balance.
AnnMarie McIlwain
Patient Advocators -
adriagross replied to the topic MEDIA OPPORTUNITY: Medicare Experts on the Importance of Using OTC Benefits in the forum +ADL Forum: Directory Listed APHA Members Only 1 year, 10 months ago
Hi Deb,
Please have the media person contact me.
I would very willingly dicuss with themr my experience with over the counter Medicare claims.
Many thanks!
Best regards,
Adria Goldman Gross
MedWise Insurance Advocacy, Division of MedWise Billing, Inc.
PO Box 123
Monroe, NY…[Read more] -
adriagross replied to the topic MEDIA OPPORTUNITY: Medicare Experts on the Importance of Using OTC Benefits in the forum +ADL Forum: Directory Listed APHA Members Only 1 year, 10 months ago
Hi Deb,
Please have the media person contact me.
I would very willingly dicuss with themr my experience with over the counter Medicare claims.
Many thanks!
Best regards,
Adria Goldman Gross
MedWise Insurance Advocacy, Division of MedWise Billing, Inc.
PO Box 123
Monroe, NY…[Read more] -
adriagross replied to the topic MEDIA OPPORTUNITY: Cost of MRI in the forum +ADL Forum: Directory Listed APHA Members Only 1 year, 10 months ago
I have had many cases over the years with very high MRI charges. I almost always reduce them to a very reasonable amount.
Please provide my conact information: Many thanks!
Best regards,
Adria Goldman Gross
MedWise Insurance Advocacy, Division of MedWise Billing, Inc.
PO Box 123
Monroe, NY…[Read more] -
adriagross replied to the topic MEDIA OPPORTUNITY: Cost of MRI in the forum +ADL Forum: Directory Listed APHA Members Only 1 year, 10 months ago
I have had many cases over the years with very high MRI charges. I almost always reduce them to a very reasonable amount.
Please provide my conact information: Many thanks!
Best regards,
Adria Goldman Gross
MedWise Insurance Advocacy, Division of MedWise Billing, Inc.
PO Box 123
Monroe, NY…[Read more] -
Michael Yudelevich replied to the topic MEDIA OPPORTUNITY: Cost of MRI in the forum +ADL Forum: Directory Listed APHA Members Only 1 year, 10 months ago
I really enjoy the following resource Billy App when comparing rates for testing and procedures in differing states. This tool allows you to input the CPT (procedure code) and zip code and will display the range of prices for different facilities.
The tool permits 3 free searches/month; anything beyond this requires a $10/month subscription.…[Read more]
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Michael Voss replied to the topic MEDIA OPPORTUNITY: Cost of MRI in the forum +ADL Forum: Directory Listed APHA Members Only 1 year, 10 months ago
nice article by GE Healthcare about MRI cost variance with practical points at the end when doing research on this:
https://www.gehealthcare.co.uk/insights/article/how-much-does-an-mri-cost -
Cheryl Kauffman, PT, BCPA started the topic 2 contract question in the forum General Conversation 1 year, 10 months ago
Hi all,
1st question: I’ve had this come up several times – a family member or friend wants to pay for services and would prefer that the client not know how much it costs. I have still had the client sign the standard contract which outlines my fees, and then we all just hope they forget about it. What’s your opinion on having a variation of…[Read more]
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APHA Member Services started the topic CROSS-POSTING – MEDIA OPPORTUNITY – Cost of MRI in the forum SIG – Medical Billing & Claims Forum 1 year, 10 months ago
Hi folks – A writer for SingleCare has asked us for help connecting with experts about the cost of MRI. Since this is the medical billing group, I figured many of you have the expertise. If you’re open to doing a media interview, please let us know at media@aphadvocates.org and we’ll connect you with the writer.
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APHA Member Services started the topic MEDIA OPPORTUNITY: Cost of MRI in the forum +ADL Forum: Directory Listed APHA Members Only 1 year, 10 months ago
Hi everyone – Another writer working for SingleCare has asked us to help them find an expert who can speak to the cost of MRI. Attention billing/finance experts – if you have expertise to share, please let us know at media@aphadvocates.org and we’ll connect you with the writer.
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APHA Member Services started the topic MEDIA OPPORTUNITY: Cost of MRI in the forum +ADL Forum: Directory Listed APHA Members Only 1 year, 10 months ago
Hi everyone – Another writer working for SingleCare has asked us to help them find an expert who can speak to the cost of MRI. Attention billing/finance experts – if you have expertise to share, please let us know at media@aphadvocates.org and we’ll connect you with the writer.
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Tammy Porter replied to the topic Dignity Health is Suing Patient Advocates in the forum General Conversation 1 year, 10 months ago
Thank you for sharing, Linda. My first thought was patient rights to an appeal with Medicare QIO. However, a decision is not rendered weeks later as in this delayed discharge case. I’ve only had one client in two years where we appealed the discharge because the surgeon, his NP, and the hospital case manager were all rendering different opinions o…[Read more]
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Sherri Miller replied to the topic Retainers and Refunds in the forum General Conversation 1 year, 10 months ago
I also have retainer contracts and 5 1/2 years into my business, this week is the first time I have a client who no longer wants support and has hours left on his retainer. My client has dementia and his daughter, who has POA, has told me that once he is at the point of needing full-time support, she will bring me back on to help navigate his…[Read more]
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LBeck805 started the topic Dignity Health is Suing Patient Advocates in the forum General Conversation 1 year, 10 months ago
In an interesting and concerning turn of events, Dignity Health is suing several former patients and their patient advocates over what sound like disputes related to the discharge plans. It’s tough to tell what the whole story may be, but this article is worth a read. https://kffhealthnews.org/news/article/catholic-hospitals-dignity-health-aborti…[Read more]
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Gail Gilberto replied to the topic Retainers and Refunds in the forum General Conversation 1 year, 10 months ago
Hi Schandelle,
Personally, I have one billing rate for ‘complex/medical advocacy’, always billed at ten hr retainer increments, and a lower rate for medical billing, with a four hour retainer charged at a time. Even though my personal contract states the retainer balance will not be refunded. If the client cancels the contract, I tell them ver…[Read more] - Load More